Individual
SUNGSOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 COMMUNITY DR FL 2, GREAT NECK, NY 11021-5501
(516) 465-8200
Mailing address
1468 MADISON AVE, NEW YORK, NY 10029-6508
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
336812
NY
Other
Enumeration date
04/10/2020
Last updated
08/14/2025
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